IEEE Trans Med Imaging. 2020 Jul;39(7):2440-2450. doi: 10.1109/TMI.2020.2971730. Epub 2020 Feb 5.
Precisely labeling teeth on digitalized 3D dental surface models is the precondition for tooth position rearrangements in orthodontic treatment planning. However, it is a challenging task primarily due to the abnormal and varying appearance of patients' teeth. The emerging utilization of intraoral scanners (IOSs) in clinics further increases the difficulty in automated tooth labeling, as the raw surfaces acquired by IOS are typically low-quality at gingival and deep intraoral regions. In recent years, some pioneering end-to-end methods (e.g., PointNet) have been proposed in the communities of computer vision and graphics to consume directly raw surface for 3D shape segmentation. Although these methods are potentially applicable to our task, most of them fail to capture fine-grained local geometric context that is critical to the identification of small teeth with varying shapes and appearances. In this paper, we propose an end-to-end deep-learning method, called MeshSegNet, for automated tooth labeling on raw dental surfaces. Using multiple raw surface attributes as inputs, MeshSegNet integrates a series of graph-constrained learning modules along its forward path to hierarchically extract multi-scale local contextual features. Then, a dense fusion strategy is applied to combine local-to-global geometric features for the learning of higher-level features for mesh cell annotation. The predictions produced by our MeshSegNet are further post-processed by a graph-cut refinement step for final segmentation. We evaluated MeshSegNet using a real-patient dataset consisting of raw maxillary surfaces acquired by 3D IOS. Experimental results, performed 5-fold cross-validation, demonstrate that MeshSegNet significantly outperforms state-of-the-art deep learning methods for 3D shape segmentation.
精确地标定数字化 3D 牙科表面模型上的牙齿是正畸治疗计划中牙齿位置重新排列的前提。然而,由于患者牙齿的异常和多变的外观,这是一项具有挑战性的任务。诊所中越来越多地使用口内扫描仪 (IOS) 进一步增加了自动牙齿标记的难度,因为 IOS 获得的原始表面在牙龈和深部口腔区域通常质量较低。近年来,计算机视觉和图形领域的一些开创性端到端方法(例如 PointNet)已被提出,可直接用于 3D 形状分割的原始表面。尽管这些方法可能适用于我们的任务,但它们中的大多数都无法捕获对识别形状和外观各异的小牙齿至关重要的细粒度局部几何上下文。在本文中,我们提出了一种端到端的深度学习方法,称为 MeshSegNet,用于原始牙科表面的自动牙齿标记。使用多个原始表面属性作为输入,MeshSegNet 在其前向路径中集成了一系列图约束学习模块,以分层提取多尺度局部上下文特征。然后,应用密集融合策略来组合局部到全局几何特征,以学习网格单元注释的更高层次特征。通过图切割细化步骤对我们的 MeshSegNet 生成的预测进行后处理,以进行最终分割。我们使用由 3D IOS 采集的上颌原始表面组成的真实患者数据集评估了 MeshSegNet。5 折交叉验证的实验结果表明,MeshSegNet 在 3D 形状分割方面明显优于最先进的深度学习方法。